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ALICIA RUSSELL CARTER, M.D., P.C.

ALICIA RUSSELL CARTER, M.D., P.C.

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Company Details

Name:	ALICIA RUSSELL CARTER, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Inactive
Date of registration:	23 Feb 2001 (24 years ago)
Date of dissolution:	15 Aug 2022
Entity Number:	2609274
ZIP code:	10017
County:	New York
Place of Formation:	New York
Address:	425 MADISON AVE, FL 11, NEW YORK, NY, United States, 10017

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	425 MADISON AVE, FL 11, NEW YORK, NY, United States, 10017

Chief Executive Officer

Name	Role	Address
ALICIA R CARTER	Chief Executive Officer	425 MADISON AVE, FL 11, NEW YORK, NY, United States, 10017

National Provider Identifier

NPI Number:

1760661763

Link:

View on NPI website

Authorized Person:

Name:

DR. ALICIA RUSSELL CARTER

Role:

PRSEIDENT

Phone:

2122659803

Taxonomy:

Selected Taxonomy:

2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician

Is Primary:

Yes

Contacts:

Phone:

+1 212-265-9803

Form 5500 Series

Employer Identification Number (EIN):

134158794

Plan Year:

2017

Number Of Participants:

2

Sponsors DBA Name:

ALICIA RUSSELL CARTER, MD, PC

Sponsors Telephone Number:

2127947040

File:

Plan Year:

2016

Number Of Participants:

2

Sponsors Telephone Number:

2127947040

File:

Plan Year:

2015

Number Of Participants:

1

Sponsors Telephone Number:

2127947040

File:

Plan Year:

2013

Number Of Participants:

2

Sponsors Telephone Number:

2127947040

File:

Plan Year:

2012

Number Of Participants:

3

Sponsors Telephone Number:

2127947040

File:

History

Start date	End date	Type	Value
2019-10-18	2023-01-09	Address	425 MADISON AVE, FL 11, NEW YORK, NY, 10017, USA (Type of address: Chief Executive Officer)
2019-10-18	2023-01-09	Address	425 MADISON AVE, FL 11, NEW YORK, NY, 10017, USA (Type of address: Service of Process)
2012-03-02	2019-10-18	Address	212 EAST 69TH ST, NEW YORK, NY, 10021, USA (Type of address: Service of Process)
2012-03-02	2019-10-18	Address	212 EAST 69TH ST, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2012-03-02	2019-10-18	Address	12 EAST 69TH ST, NEW YORK, NY, 10021, USA (Type of address: Principal Executive Office)

Filings

Filing Number	Date Filed	Type	Effective Date
230109003662	2022-08-15	CERTIFICATE OF DISSOLUTION-CANCELLATION	2022-08-15
191018002030	2019-10-18	BIENNIAL STATEMENT	2019-02-01
120302002656	2012-03-02	BIENNIAL STATEMENT	2011-02-01
070221002456	2007-02-21	BIENNIAL STATEMENT	2007-02-01
050331002510	2005-03-31	BIENNIAL STATEMENT	2005-02-01

Paycheck Protection Program

Jobs Reported:

2

Initial Approval Amount:

$8,600

Date Approved:

2020-04-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$8,600

Race:

Black or African American

Ethnicity:

Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$8,666.89

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $8,600

Jobs Reported:

2

Initial Approval Amount:

$31,800

Date Approved:

2021-01-25

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$31,800

Race:

Black or African American

Ethnicity:

Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$32,053.52

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $31,799

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State